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Aquinas College

ASN Program

Grading Guidelines Syllabus

Contents:

Labor and Delivery Meds 2

Labor and Delivery Questionnaire 4

Labor and Delivery Article 5

Fetal Heart Rate Monitoring 6

Labor and Delivery Assessment 7

Observation Report 8

Observation Article 9

Postpartum Meds 10

Postpartum Article 12

Postpartum Care Plan 13

Postpartum Teaching 16

Newborn Assessment 21

Newborn Meds 22

Newborn Article 23

Newborn Teaching 24

1
Labor and Delivery
Medication Sheet

Student Name _________________________________________________

Cytotec
Pregnancy Classification _____/1pt
Drug Classification identified _____/1 pt
All routes identified (there should be 3 here) _____/3 pts
Specific L/D usage (with dose range and route) cited
Induction use
PP Hemorrhage use
IUFD use _____/9 pts
Side Effects _____/2 pts
Evaluation _____/4 pts

Magnesium Sulfate
Pregnancy Classification _____/1pt
Drug classification identified _____/1 pt
Route identified (looking for 2 here) _____/ 2 pts
Correct dosage for each use
Identification of PTL usage and dose _____/3 pts
Identification of PIH usage and dose _____/3 pts
Written out _____/2 pts
Side Effects _____/2 pts
Evaluation _____/4 pts

Oxytocin
Pregnancy Classification _____/1pt
Drug classification identified _____/1 pt
All routes identified (should be 2) _____/2 pts
Specific use and dosage for L/D
Induction
Post delivery _____/6 pts
Side Effects _____/2 pts
Evaluation _____/4 pts

Terbutaline (ASK THE L&D NURSE!)


Pregnancy Classification _____/1pt
Drug classification identified _____/1 pt
All routes identified (should be 3) _____/3 pts
Specific usage and dosage for L/D cited _____/7 pts
Side Effects _____/2 pts
Evaluation _____/4 pts

2
Methergine
Pregnancy Classification _____/1pt
Drug classification identified _____/1 pt
All routes identified (should be 2) _____/2 pts
Specific usage and dosage for L/D cited _____/6 pts
Side Effects _____/2 pts
Evaluation _____/4 pts

Hemabate
Pregnancy Classification _____/1pt
Drug classification identified _____/1 pt
All routes identified _____/1 pt
Specific usage and dosage for L/D cited _____/3 pt
Side Effects _____/2 pts
Evaluation _____/4 pts
_____
Additional Deductions for spelling errors,
leading or trailing zeroes, etc.
(0.5pt each up to 10 points) _____

Total Score _____/100

Graded by______________________________________

Date ______________________________

3
L/D Questionnaire
Grading Guide

Student Name ______________________________________

Prenatal Labs _____/24

Labor
True Labor _____/3
False Labor _____/3
Tests for ROM _____/3

Wt gain _____/3
Excessive wt gain _____/3
Too little wt gain _____/3
Fluid
Blood stained _____/2
Green _____/2

Ruptured >24 hours _____/3


Vaginal Delivery EBL _____/3
C/S EBL _____/3

Stages of Labor
1st _____/4
2nd _____/4
3rd _____/4

G _____/3
T _____/3
P _____/3
A _____/3
L _____/3

EDC _____/2
LMP _____/2
EGA _____/2

Drug Classification System for Pregnancy


A _____/2
B _____/2
C _____/2
D _____/2
X _____/2
NR _____/2
Total _____/100

Graded by ____________________________________________

Date ___________________________________________

4
Labor and Delivery Article Grading Rubric

Student Name__________________________________________

Article 5 3 0
Selection Appropriate for Appropriate for Not related to
patient care clinical setting clinical setting
provided but not for care or care provided
provided
Nursing 5 0
Reference Article from a Article from a
nursing journal non-nursing
journal
Time frame 5 0
Within Article not
designated within
time-frame designated time
(2004-2009) frame (before
2004)
Reference 5 3 0
Referenced and Referenced but No reference
using APA not with APA
format format
Article 20 15 8 0
Summary Concise Accurate Article not well no summary
summary of summary of summarized;
article article, but reader has poor
demonstrating scattered understanding
clear thoughts and of article
understanding difficult to content
of content; well follow
written and easy
to follow
Thoughts 10 5 0
Good thoughts Random or No summary of
with opinion generic thoughts given
given and thoughts with
rationale no real opinion
given of article
content or style
Additional Deductions
Late Submission (5 pts per day) _____
Spelling or Grammatical Errors
(0.5pt per error up to 10 pts) _____
Total Score ____/50
Graded by________________________
Date____________________________

5
Fetal Monitoring
Grading Guide

Student Name _______________________________________________

Early Decelerations
Description _____/5
Cause _____/10
Treatment _____/10

Variable Decelerations
Description _____/5
Cause _____/10
Treatment _____/10

Late Decelerations
Description _____/5
Cause _____/10
Treatment _____/10

Variability definition _____/5

Other definitions
Absent variability _____/5
Minimal variability _____/5
Moderate variability _____/5
Marked variability _____/5

Total _____/100

Graded by _______________________________________

Date _____________________________________

6
Labor and Delivery Assessment
Grading Guide

Student Name ______________________________________

Demographic Data _____/3

Admission V/S _____/2

Prenatal Labs _____/2

History of Labor _____/2

Medications _____/2

Problems
Past _____/2
Current _____/2

Vaginal Exam information _____/3

Labor Data _____/3


Stage I _____/2
Stage II _____/2
Delivery data _____/2
Stage III _____/2

Infant Data _____/3

Infant Behavior _____/3

Parental Responses _____/5

Hour by Hour Notes _____/10

Total _____/50

Graded by ______________________________________

Date _______________________________________

7
Observation Report Grading Rubric

Student Name__________________________________________

Article Summary 20 10 5 0
Concise summary Concise summary Accurate no summary
of day giving of day giving summary of day’s
details of details of events, but
experience AND experience AND scattered
this section is 51- this section thoughts and
100 words. contains only 25- difficult to follow
50 words. OR this section
contains less than
25 words.
Thoughts 10 5 3 0
No summary of
Excellent and Excellent and No evidence of thoughts given
thoughtful thoughtful personal
reflection of day’s reflection of day’s reflection on the
events and events and day’s events OR
evaluation of evaluation of this section is less
them AND this them AND this than 25 words.
section is 51-100 section is 25-50
words. words.
Benefit 10 5 3 0

Thoughtful Thoughtful No evidence of Question not


reflection of reflection of personal answered
benefit of this benefit of this reflection of
observation observation benefit of this
experience AND experience AND observation
this section is at this section is at experience OR
least 51-100 least 25-50 this section is less
words. words. than 25 words.
Changes 10 5 3 0

Thoughtful Question not


suggestions on answered
how this
experience could
be changed or not
changed to be
more beneficial
for future
students.

Additional Deductions
Late Submission (5 pts per day) _____
Spelling or Grammatical Errors
(0.5pt per error up to 10 pts) _____
Total Score ____/50
Graded by________________________

Date____________________________

8
Observation Article Grading Rubric

Student Name__________________________________________

Article 5 3 0
Selection Appropriate for Appropriate for Not related to
patient care clinical setting clinical setting
provided for not for care or care provided
provided
Nursing 5 0
Reference Article from a Article from a
nursing journal non-nursing
journal
Time frame 5 0
Within Article not
designated within
time-frame designated time
(2004-2009) frame (before
2004)
Reference 5 3 0
Referenced and Referenced but No reference
using APA not with APA
format format
Article 20 15 8 0
Summary Concise Accurate Article not well no summary
summary of summary of summarized;
article article, but reader has poor
demonstrating scattered understanding
clear thoughts and of article
understanding difficult to content
of content; well follow
written and easy
to follow
Thoughts 10 5 0
Good thoughts Random or No summary of
with opinion generic thoughts given
given and thoughts with
rationale no real opinion
given of article
content or style
Additional Deductions
Late Submission (5 pts per day) _____
Spelling or Grammatical Errors
(0.5pt per error up to 10 pts) _____
Total Score ____/50
Graded by________________________
Date____________________________

9
Postpartum
Medication Sheet

Student Name _______________________________________

Percocet
Pregnancy Classification _____/1pt
Drug classification identified _____/1 pt
Route identified _____/1 pt
Correct range and frequency of dosage _____/2 pts
Indication for use _____/2 pts
Specific dosage for patient identified _____/2 pts
Side Effects _____/3 pts
Evaluation _____/4 pts

Motrin
Pregnancy Classification _____/1pt
Drug classification identified _____/1 pt
Route identified _____/1 pt
Indication for use _____/2 pts
Correct range and frequency of dosage _____/2 pts
Specific dosage for patient identified _____/2 pts
Side Effects _____/3 pts
Evaluation _____/4 pts

Colace
Pregnancy Classification _____/1pt
Drug classification identified _____/1 pt
Route identified _____/1 pt
Indication for use _____/2 pts
Correct range and frequency of dosage _____/2 pts
Specific dosage for patient identified _____/2 pts
Side Effects _____/3 pts
Evaluation _____/4 pts

Rhogam
Pregnancy Classification _____/1pt
Drug classification identified _____/1 pt
Route identified _____/1 pt
Correct range and frequency of dosage _____/2 pts
Indication for use _____/2 pts
Specific dosage for patient identified _____/2 pts
Side Effects _____/3 pts
Evaluation _____/4 pts

Toradol
Pregnancy Classification _____/1pt
Drug classification identified _____/1 pt
Correct route identified (should be 2) _____/2 pts
Correct range and frequency of dosage _____/2 pts
Indication for use _____/2 pts
Specific dosage for patient identified _____/2 pts
Side Effects _____/3 pts
Evaluation _____/4 pts

10
Ampicillin
Pregnancy Classification _____/1pt
Drug classification identified _____/1 pt
Correct route identified (should be 2) _____/2 pts
Correct range and frequency of dosage _____/2 pts
Indication for use _____/2 pts
Specific dosage for patient identified _____/2 pts
Side Effects _____/2 pts
Evaluation _____/4 pts

Name _____/3 pts

_____
Additional Deductions for spelling errors,
leading or trailing zeroes, etc.
(0.5pt each up to 10 points) _____

Total Score _____/100


Graded by ______________________________________

Date _________________________

11
Postpartum Article Grading Rubric

Student Name__________________________________________

Article 5 3 0
Selection Appropriate for Appropriate for Not related to
patient care clinical setting clinical setting
provided for not for care or care provided
provided
Nursing 5 0
Reference Article from a Article from a
nursing journal non-nursing
journal
Time frame 5 0
Within Article not
designated within
time-frame designated time
(2004-2009) frame (before
2004)
Reference 5 3 0
Referenced and Referenced but No reference
using APA not with APA
format format
Article 20 15 8 0
Summary Concise Accurate Article not well no summary
summary of summary of summarized;
article article, but reader has poor
demonstrating scattered understanding
clear thoughts and of article
understanding difficult to content
of content; well follow
written and easy
to follow
Thoughts 10 5 0
Good thoughts Random or No summary of
with opinion generic thoughts given
given and thoughts with
rationale no real opinion
given of article
content or style
Additional Deductions
Late Submission (5 pts per day) _____
Spelling or Grammatical Errors
(0.5pt per error up to 10 pts) _____
Total Score ____/50
Graded by________________________
Date____________________________

12
Postpartum Care Plan Grading Rubric
Student Name____________________________

Patient 10
Thorough
7
A few
5
3-6 missing
3
> 6 missing
0
no patient
History history of pt missing elements elements history
labor/ infant elements of included
status pt history
(<3)

Diagnosis 10
Appropriate
5
Appropriate
0
Not a good
#1 and highest Diagnosis but diagnoses
priority not choice for
accurately this patient
prioritized

Goals 15 10 7 0
Specific and Specific, but Too general Not specific
measurable not or
measurable measurable

Interventions 30 25 20 15 10
Excellent list Good Need for > 3 Many Good
of interventions, additional appropriate interventions
interventions, but not interventions interventions listed, but
considering considering omitted (>5) >50% not
specific individual or 25-50% performed
needs of needs of interventions
individual pt. patient listed are
not done

Rationale 15 10 7 5 0
Good 25% of 50% of 75% of no rationale
explanation interventions interventions interventions
of need for without without without
specific rationale rationale rationale
intervention

Evaluation 10 7 5 0
Good Evaluation Interventions No evaluation
evaluation of accurate, but not evaluated
goals with without in
measurable measurable relationship
information information to GOALS

13
Postpartum Care Plan Grading Rubric, p. 2
Student Name____________________________

Diagnosis 10
Appropriate
5
Appropriate
0
Not a good
#2 and highest Diagnosis but diagnoses
priority not choice for
accurately this patient
prioritized

Goals 15 10 7 0
Specific and Specific, but Too general Not specific
measurable not or
measurable measurable

Interventions 30 25 20 15 10
Excellent list Good Need for > 3 Many Good
of interventions, additional appropriate interventions
interventions, but not interventions interventions listed, but
considering considering omitted (>5) >50% not
specific individual or 25-50% performed
needs of need of interventions
individual pt. patient listed are
not done

Rationale 15 10 7 5 0
Good 25% of 50% of 75% of no rationale
explanation interventions interventions interventions
of need for without without without
specific rationale rationale rationale
intervention

Evaluation 10 7 5 0
Good Evaluation Interventions No evaluation
evaluation of accurate, but not evaluated
goals with without in
measurable measurable relationship
information information to GOALS

Comments:

14
Postpartum Care Plan Grading Rubric, p. 3
Student Name____________________________

Diagnosis 10
Appropriate
5
Appropriate
0
Not a good
#2 and highest Diagnosis but diagnoses
priority not choice for
accurately this patient
prioritized

Goals 15 10 7 0
Specific and Specific, but Too general Not specific
measurable not or
measurable measurable

Interventions 30 25 20 15 10
Excellent list Good Need for > 3 Many Good
of interventions, additional appropriate interventions
interventions, but not interventions interventions listed, but
considering considering omitted (>5) >50% not
specific individual or 25-50% performed
needs of need of interventions
individual pt. patient listed are
not done

Rationale 15 10 7 5 0
Good 25% of 50% of 75% of no rationale
explanation interventions interventions interventions
of need for without without without
specific rationale rationale rationale
intervention

Evaluation 10 7 5 0
Good Evaluation Interventions No evaluation
evaluation of accurate, but not evaluated
goals with without in
measurable measurable relationship
information information to GOALS

Comments:
Total Score____________

Graded by_______________________________________________
Date__________________

15
Postpartum Teaching Grading Rubric

Student Name
Pain
Management
Teaching 4 2 1 0
Thorough Good amount of Fair amount of No submission.
Information information; information;
included; Easy to scattered and not scattered and not
read and follow. well organized. well organized.

Rationale 1 0
Thorough and good No rationale given
rationale
Sources 1 0
Sources listed Sources not listed
Presentation 4 3 2 1 0
Presentation given A good amount of A good amount of Mostly read and/or Not prepared for
with little reading. reading or little reading and/or lots lots of presentation on
No information information added of information information added day assigned.
added by by instructor added by by instructor
instructor during during teaching instructor during during teaching
presentation session. session session.

Comments:

Vaginal
Discharge
Teaching 4 2 1 0
Thorough Good amount of Fair amount of No submission.
Information information; information;
included; Easy to scattered and not scattered and not
read and follow. well organized. well organized.

Rationale 1 0
Thorough and good No rationale given
rationale
Sources 1 0
Sources listed Sources not listed
Presentation 4 3 2 1 0
Presentation A good amount of A good amount of Mostly read Not prepared for
given with little reading or little reading and/or and/or lots of presentation on
reading. No information added lots of information information added day assigned.
information added by instructor added by by instructor
by instructor during teaching instructor during during teaching
during session. session session.
presentation
Comments:

16
Pericare/Hygiene/Bathing
Teaching 4 2 1 0
Thorough Good amount of Fair amount of No submission.
Information information; information;
included; Easy scattered and scattered and
to read and not well not well
follow. organized. organized.

Rationale 1 0
Thorough and No rationale
good rationale given
Sources 1 0
Sources listed Sources not
listed
Presentation 4 3 2 1 0
Presentation A good amount A good amount Mostly read Not prepared
given with of reading or of reading and/or lots of for presentation
little reading. little and/or lots of information on day assigned.
No information information information added by
added by added by added by instructor during
instructor instructor instructor during teaching session.
during during teaching session
presentation session.

Comments:

Elimination
Teaching 4 2 1 0
Thorough Good amount of Fair amount of No submission.
Information information; information;
included; Easy to scattered and not scattered and not
read and follow. well organized. well organized.

Rationale 1 0
Thorough and good No rationale given
rationale
Sources 1 0
Sources listed Sources not listed
Presentation 4 3 2 1 0
Presentation A good amount of A good amount of Mostly read Not prepared for
given with little reading or little reading and/or and/or lots of presentation on
reading. No information added lots of information information added day assigned.
information added by instructor added by by instructor
by instructor during teaching instructor during during teaching
during session. session session.
presentation
Comments:

17
Diet/Exercise
Teaching 4 2 1 0
Thorough Good amount of Fair amount of No submission.
Information information; information;
included; Easy to scattered and not scattered and not
read and follow. well organized. well organized.

Rationale 1 0
Thorough and good No rationale given
rationale
Sources 1 0
Sources listed Sources not listed
Presentation 4 3 2 1 0
Presentation A good amount of A good amount of Mostly read Not prepared for
given with little reading or little reading and/or and/or lots of presentation on
reading. No information lots of information information added day assigned.
information added by added by by instructor
added by instructor during instructor during during teaching
instructor during teaching session. session session.
presentation
Comments:

Breast Care
Teaching 4 2 1 0
Thorough Good amount of Fair amount of No submission.
Information information; information;
included; Easy to scattered and not scattered and not
read and follow. well organized. well organized.

Rationale 1 0
Thorough and good No rationale given
rationale
Sources 1 0
Sources listed Sources not listed
Presentation 4 3 2 1 0
Presentation A good amount of A good amount of Mostly read Not prepared for
given with little reading or little reading and/or and/or lots of presentation on
reading. No information added lots of information information added day assigned.
information added by instructor added by by instructor
by instructor during teaching instructor during during teaching
during session. session session.
presentation
Comments:

18
Emotional
Changes
Teaching 4 2 1 0
Thorough Good amount of Fair amount of No submission.
Information information; information;
included; Easy to scattered and not scattered and not
read and follow. well organized. well organized.

Rationale 1 0
Thorough and good No rationale given
rationale
Sources 1 0
Sources listed Sources not listed
Presentation 4 3 2 1 0
Presentation A good amount of A good amount of Mostly read Not prepared for
given with little reading or little reading and/or and/or lots of presentation on
reading. No information added lots of information information added day assigned.
information added by instructor added by by instructor
by instructor during teaching instructor during during teaching
during session. session session.
presentation
Comments:

Sexuality/Family
Planning
Teaching 4 2 1 0
Thorough Good amount of Fair amount of No submission.
Information information; information;
included; Easy to scattered and not scattered and not
read and follow. well organized. well organized.

Rationale 1 0
Thorough and No rationale given
good rationale
Sources 1 0
Sources listed Sources not listed
Presentation 4 3 2 1 0
Presentation A good amount of A good amount of Mostly read Not prepared for
given with little reading or little reading and/or and/or lots of presentation on
reading. No information lots of information added day assigned.
information added by information added by instructor
added by instructor during by instructor during teaching
instructor during teaching session. during session session.
presentation
Comments:

19
C/S Incision
Care
Teaching 4 2 1 0
Thorough Good amount of Fair amount of No submission.
Information information; information;
included; Easy to scattered and not scattered and not
read and follow. well organized. well organized.

Rationale 1 0
Thorough and good No rationale given
rationale
Sources 1 0
Sources listed Sources not listed
Presentation 4 3 2 1 0
Presentation A good amount of A good amount of Mostly read Not prepared for
given with little reading or little reading and/or and/or lots of presentation on
reading. No information added lots of information information added day assigned.
information added by instructor added by by instructor
by instructor during teaching instructor during during teaching
during session. session session.
presentation
Comments: (*Note to Clinical Instructor: If student is teaching a Vaginal Delivery patient, please give full 4 points here for presntation)

When to call
doctor
Teaching 4 2 1 0
Thorough Good amount of Fair amount of No submission.
Information information; information;
included; Easy to scattered and not scattered and not
read and follow. well organized. well organized.

Rationale 1 0
Thorough and good No rationale given
rationale
Sources 1 0
Sources listed Sources not listed
Presentation 4 3 2 1 0
Presentation A good amount of A good amount of Mostly read Not prepared for
given with little reading or little reading and/or and/or lots of presentation on
reading. No information added lots of information information added day assigned.
information added by instructor added by by instructor
by instructor during teaching instructor during during teaching
during session. session session.
presentation
Comments:

Additional deductions for spelling and grammatical errors (0.5pts each up to 10 pts) ____________

Total Score _______/ 100


Graded by_________________________________

Date_________________
20
NEWBORN ASSESSMENT
Grading Guide

Student Name __________________________________________________

Normal Findings and Common Variations _____/100


Be detailed and give all possible findings

Deductions will be 0.5 pt for each identified piece of missing information or lack of specificity in information

Assessment of Your Baby _____/100


Be specific

Deductions will be 1 pt for each identified piece of missing information or lack of specificity in information

Teaching needs Related to Normal Newborn Clients _____/50


What might the parents need to be told regarding
care of their infant based on possible and actual
assessment findings?

Deductions will be 0.5pt for each identified piece of missing information or lack of specificity in information

Total _____/250

Date_________________________________________________________

Graded by_____________________________________________________

21
Newborn Nursery
Medication Sheet

Student Name __________________________________________

EES ophthalmic ointment


Drug classification identified _____/1 pt
Route identified _____/2 pts
Correct dosage range and frequency identified _____/3 pts
Identification of use _____/3 pts
Specific dosage for patient identified _____/3 pts
Side Effects _____/3 pts
Evaluation _____/5 pts

Vitamin K
Drug classification identified _____/1 pt
Route identified _____/2 pts
Correct dosage range and frequency identified _____/3 pts
Identification of use _____/3 pts
Specific dosage for patient identified _____/3 pts
Side Effects _____/3 pts
Evaluation _____/5 pts

Hepatitis B
Drug classification identified _____/1 pt
Route identified _____/2 pts
Correct dosage range and frequency identified _____/3 pts
Identification of use _____/3 pts
Specific dosage for patient identified _____/3 pts
Side Effects _____/3 pts
Evaluation _____/5 pts

Sucrose
Drug classification identified _____/1 pt
Route identified _____/2 pts
Correct dosage range and frequency identified _____/3 pts
Identification of use _____/3 pts
Specific dosage for patient identified _____/3 pts
Side Effects _____/3 pts
Evaluation _____/5 pts

EMLA Cream
Drug classification identified _____/1 pt
Route identified _____/2 pts
Correct dosage range and frequency identified _____/3 pts
Identification of use _____/3 pts
Specific dosage for patient identified _____/3 pts
Side Effects _____/3 pts
Evaluation _____/5 pts

_____

Addition Deductions for spelling errors,


leading or trailing zeroes, etc.
(0.5pt each up to 10 points) _______

Total Score _____/100

Graded by __________________________________________

Date ______________________________________

22
Nursery Article Grading Rubric

Student Name__________________________________________

Article 5 3 0
Selection Appropriate for Appropriate for Not related to
patient care clinical setting clinical setting
provided for not for care or care provided
provided
Nursing 5 0
Reference Article from a Article from a
nursing journal nonnursing
journal
Time frame 5 0
Within Article not
designated within
time-frame designated time
(2004-2009) frame (before
2004)
Reference 5 3 0
Referenced and Referenced but No reference
using APA not with APA
format format
Article 20 15 8 0
Summary Concise Accurate Article not well no summary
summary of summary of summarized;
article article, but reader has poor
demonstrating scattered understanding
clear thoughts and of article
understanding difficult to content
of content; well follow
written and easy
to follow
Thoughts 10 5 0
Good thoughts Random or No summary of
with opinion generic thoughts given
given and thoughts with
rationale no real opinion
given of article
content or style
Additional Deductions
Late Submission (5 pts per day) _____
Spelling or Grammatical Errors
(0.5pt per error up to 10 pts) _____
Total Score ____/50
Graded by________________________
Date____________________________

23
Newborn Teaching Grading Rubric

Student Name
Bulb Syringe
Teaching 5 4 3 2 1 0
Thorough Thorough, but Good information Good information Weak on amount Weak on amount
Information information given and given but of information of information
presented mostly read to presented information presented to presented to
without reading; client; no need without reading; mostly read to client with little client and mostly
No need for for instructor to Necessary for client; little reading; read to client.
instructor to add add additional instructor to add information added Instructor added
additional information little information by instructor a good amount of
information additional
information
Rationale 1 0
Thorough and No rationale given
good rationale
Sources 1 0
Sources listed Sources not listed
Written 2 1 0
documentation Information Some information No information
added by added by added by
instructor during instructor during instructor during
teaching session teaching session teaching session
included in included in included in
documentation documentation documentation
Comments:

Positioning
Baby
Teaching 5 4 3 2 1 0
Thorough Thorough, but Good information Good information Weak on amount Weak on amount
Information information given and given but of information of information
presented mostly read to presented information presented to presented to
without reading; client; no need without reading; mostly read to client with little client and mostly
No need for for instructor to Necessary for client; little reading; read to client.
instructor to add add additional instructor to add information added Instructor added
additional information little information by instructor a good amount of
information additional
information
Rationale 1 0
Thorough and No rationale given
good rationale
Sources 1 0
Sources listed Sources not listed
Written 2 1 0
documentation Information Some information No information
added by added by added by
instructor during instructor during instructor during
teaching session teaching session teaching session
included in included in included in
documentation documentation documentation
Comments:

24
Bottle Feeding
Teaching 5 4 3 2 1 0
Thorough Thorough, but Good information Good information Weak on amount Weak on amount
Information information given and given but of information of information
presented mostly read to presented information presented to presented to
without reading; client; no need without reading; mostly read to client with little client and mostly
No need for for instructor to Necessary for client; little reading; read to client.
instructor to add add additional instructor to add information added Instructor added
additional information little information by instructor a good amount of
information additional
information
Rationale 1 0
Thorough and No rationale given
good rationale
Sources 1 0
Sources listed Sources not listed
Written 2 1 0
documentation Information Some information No information
added by added by added by
instructor during instructor during instructor during
teaching session teaching session teaching session
included in included in included in
documentation documentation documentation

Comments:

Breast
Feeding
Teaching 5 4 3 2 1 0
Thorough Thorough, but Good information Good information Weak on amount Weak on amount
Information information given and given but of information of information
presented mostly read to presented information presented to presented to
without reading; client; no need without reading; mostly read to client with little client and mostly
No need for for instructor to Necessary for client; little reading; read to client.
instructor to add add additional instructor to add information added Instructor added
additional information little information by instructor a good amount of
information additional
information
Rationale 1 0
Thorough and No rationale given
good rationale
Sources 1 0
Sources listed Sources not listed
Written 2 1 0
documentation Information Some information No information
added by added by added by
instructor during instructor during instructor during
teaching session teaching session teaching session
included in included in included in
documentation documentation documentation
Comments:

25
Elimination
Teaching 5 4 3 2 1 0
Thorough Thorough, but Good information Good information Weak on amount Weak on amount
Information information given and given but of information of information
presented mostly read to presented information presented to presented to
without reading; client; no need without reading; mostly read to client with little client and mostly
No need for for instructor to Necessary for client; little reading; read to client.
instructor to add add additional instructor to add information added Instructor added
additional information little information by instructor a good amount of
information additional
information
Rationale 1 0
Thorough and No rationale given
good rationale
Sources 1 0
Sources listed Sources not listed
Written 2 1 0
documentation Information Some information No information
added by added by added by
instructor during instructor during instructor during
teaching session teaching session teaching session
included in included in included in
documentation documentation documentation
Comments:

Bathing/Skin
Care
Teaching 5 4 3 2 1 0
Thorough Thorough, but Good information Good information Weak on amount Weak on amount
Information information given and given but of information of information
presented mostly read to presented information presented to presented to
without reading; client; no need without reading; mostly read to client with little client and mostly
No need for for instructor to Necessary for client; little reading; read to client.
instructor to add add additional instructor to add information added Instructor added
additional information little information by instructor a good amount of
information additional
information
Rationale 1 0
Thorough and No rationale given
good rationale
Sources 1 0
Sources listed Sources not listed
Written 2 1 0
documentation Information Some information No information
added by added by added by
instructor during instructor during instructor during
teaching session teaching session teaching session
included in included in included in
documentation documentation documentation
Comments:

26
Cord Care
Teaching 5 4 3 2 1 0
Thorough Thorough, but Good information Good information Weak on amount Weak on amount
Information information given and given but of information of information
presented mostly read to presented information presented to presented to
without reading; client; no need without reading; mostly read to client with little client and mostly
No need for for instructor to Necessary for client; little reading; read to client.
instructor to add add additional instructor to add information added Instructor added
additional information little information by instructor a good amount of
information additional
information
Rationale 1 0
Thorough and No rationale given
good rationale
Sources 1 0
Sources listed Sources not listed
Written 2 1 0
documentation Information Some information No information
added by added by added by
instructor during instructor during instructor during
teaching session teaching session teaching session
included in included in included in
documentation documentation documentation
Comments:

Circumcision
Care
Teaching 5 4 3 2 1 0
Thorough Thorough, but Good information Good information Weak on amount Weak on amount
Information information given and given but of information of information
presented mostly read to presented information presented to presented to
without reading; client; no need without reading; mostly read to client with little client and mostly
No need for for instructor to Necessary for client; little reading; read to client.
instructor to add add additional instructor to add information added Instructor added
additional information little information by instructor a good amount of
information additional
information
Rationale 1 0
Thorough and No rationale given
good rationale
Sources 1 0
Sources listed Sources not listed
Written 2 1 0
documentation Information Some information No information
added by added by added by
instructor during instructor during instructor during
teaching session teaching session teaching session
included in included in included in
documentation documentation documentation
Comments:

27
Thermometer
Use
Teaching 5 4 3 2 1 0
Thorough Thorough, but Good information Good information Weak on amount Weak on amount
Information information given and given but of information of information
presented mostly read to presented information presented to presented to
without reading; client; no need without reading; mostly read to client with little client and mostly
No need for for instructor to Necessary for client; little reading; read to client.
instructor to add add additional instructor to add information added Instructor added
additional information little information by instructor a good amount of
information additional
information
Rationale 1 0
Thorough and No rationale given
good rationale
Sources 1 0
Sources listed Sources not listed
Written 2 1 0
documentation Information Some information No information
added by added by added by
instructor during instructor during instructor during
teaching session teaching session teaching session
included in included in included in
documentation documentation documentation
Comments:

Jaundice
Teaching 5 4 3 2 1 0
Thorough Thorough, but Good information Good information Weak on amount Weak on amount
Information information given and given but of information of information
presented mostly read to presented information presented to presented to
without reading; client; no need without reading; mostly read to client with little client and mostly
No need for for instructor to Necessary for client; little reading; read to client.
instructor to add add additional instructor to add information added Instructor added
additional information little information by instructor a good amount of
information additional
information
Rationale 1 0
Thorough and No rationale given
good rationale
Sources 1 0
Sources listed Sources not listed
Written 2 1 0
documentation Information Some information No information
added by added by added by
instructor during instructor during instructor during
teaching session teaching session teaching session
included in included in included in
documentation documentation documentation
Comments:

28
When to Call
MD
Teaching 5 4 3 2 1 0
Thorough Thorough, but Good Good information Weak on amount Weak on amount
Information information information given but of information of information
presented mostly read to given and information presented to presented to
without client; no need presented mostly read to client with little client and mostly
reading; No for instructor without client; little reading; read to client.
need for to add reading; information Instructor added
instructor to additional Necessary for added by a good amount of
add additional information instructor to instructor additional
information add little information
information
Rationale 1 0
Thorough and No rationale
good rationale given
Sources 1 0
Sources listed Sources not
listed
Written 2 1 0
documentation Information Some information No information
added by added by added by
instructor during instructor during instructor during
teaching session teaching session teaching session
included in included in included in
documentation documentation documentation
Comments:

Name included _____/1

Total Score _______/ 100

Graded by_________________________________

Date______________

29